Emerging from the shadow of medicine: allied health as a ‘profession community’ subculture

Boyce, Rosalie A.

doi:10.5172/hesr.2006.15.5.520

Cited by 40 publications

(52 citation statements)

References 5 publications

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“…It is common in the Australian rural environment for medical providers to be external to the hospital system, being self-employed in private practices and transient visitors to the hospital. Similarly, allied health is becoming another subculture of independent practitioners (Boyce, 2006). Such divisions of the healthcare workforce complicate the boundaries between the acute hospital care system and the community healthcare system.…”

Section: Institutional and Environmental Supportsmentioning

confidence: 99%

“…However, the last two decades in Australia have seen a shift in organizational structural change with implications for professional autonomy and interprofessional relationships (Boyce, 2006). It is common in the Australian rural environment for medical providers to be external to the hospital system, being self-employed in private practices and transient visitors to the hospital.…”

Section: Institutional and Environmental Supportsmentioning

confidence: 99%

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From the nurses' station to the health team hub: How can design promote interprofessional collaboration?

Gum

Prideaux

Sweet

et al. 2012

Journal of Interprofessional Care

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Interprofessional practice implies that health professionals are able to contribute patient care in a collaborative environment. In this paper, it is argued that in a hospital the nurses' station is a form of symbolic power. The term could be reframed as a "health team hub," which fosters a place for communication and interprofessional working. Studies have found that design of the Nurses' Station can impact on the walking distance of hospital staff, privacy for patients and staff, jeopardize patient confidentiality and access to resources. However, no studies have explored the implications of nurses' station design on interprofessional practice. A multi-site collective case study of three rural hospitals in South Australia explored the collaborative working culture of each hospital. Of the cultural concepts being studied, the physical design of nurses' stations and the general physical environment were found to have a major influence on an effective collaborative practice. Communication barriers were related to poor design, lack of space, frequent interruptions and a lack of privacy; the name "nurses' station" denotes the space as the primary domain of nurses rather than a workspace for the healthcare team. Immersive work spaces could encourage all members of the healthcare team to communicate more readily with one another to promote interprofessional collaboration.

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Section: Institutional and Environmental Supportsmentioning

confidence: 99%

Section: Institutional and Environmental Supportsmentioning

confidence: 99%

From the nurses' station to the health team hub: How can design promote interprofessional collaboration?

Gum

Prideaux

Sweet

et al. 2012

Journal of Interprofessional Care

View full text Add to dashboard Cite

show abstract

“…Over the past few decades there has been debate about the continued degree of medical dominance given political, social and technological changes (Boyce, 2006;Broom, 2006;Nugus, Greenfield, Travaglia, Westbrook, & Braithwaite, 2010), as well as the impact of dynamic professional boundaries due to changes in the healthcare workforce and patient safety concerns (Iedema et al, 2006;Nancarrow & Borthwick, 2005). Structural and organizational changes provide the possibility for greater independence of health occupations such as physiotherapy, occupational therapy and social work that in turn re-draws professional boundaries (Boyce, 2006). Despite these broader shifts, medical dominance has been reported as still shaping the context of, and interactions in, discharge meetings.…”

Section: Introductionmentioning

confidence: 99%

A sociological exploration of the tensions related to interprofessional collaboration in acute-care discharge planning

Goldman

Reeves

et al. 2016

Journal of Interprofessional Care

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Patient discharge is a key concern in hospitals, particularly in acute care given the multifaceted and challenging nature of patients' health care needs. Policies on discharge have identified the importance of interprofessional collaboration, yet research has described its limitations in this clinical context. This study aimed to extend our understanding of interprofessional interactions related to discharge in a general internal medicine setting by using sociological theories to illuminate the existence of, and interplay between, structural factors and micro-level practices. An ethnographic approach was employed to obtain an in-depth insight into health care providers' perspectives, 2 of healthcare labour in patient discharge with opportunities for some interprofessional negotiations; the role of organizational routines in facilitating and challenging interprofessional negotiations in patient discharge; and tensions in organizational priorities that impact an interprofessional approach to discharge. The findings provide insight into the various levels at which interventions can be targeted to improve interprofessional collaboration in discharge while recognizing the organizational tensions that challenge an interprofessional approach.

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“…The lack of an agreed national or international definition of AH has frequently resulted in definition by exclusion, i.e. those health professions that are non-medical and non-nursing (Australian Health Workforce Advisory Committee, 2006;Boyce, 2006;Fitzgerald et al, 2000;Turnbull et al, 2009). It is important to note that unlike some international contexts, in Australia, nurse specialists such as diabetes educators are usually not considered AH professionals (Boyce, 2001).…”

Section: The Allied Health Professional Workforcementioning

confidence: 99%

“…Even in a narrow listing approach to inclusion, there is usually agreement about which professions are seen as core. These would most commonly be physiotherapy, occupational therapy, speech pathology, social work, psychology and dietetics (Boyce, 2006;Lowe et al, 2007). Interestingly, core disciplines from a professional perspective do not necessarily align with public safety considerations taken by regulatory bodies.…”

Section: The Allied Health Professional Workforcementioning

confidence: 99%

Investigating the motivation and personal traits of allied health professionals working in remote and rural Australia: the Remote and Rural Allied Health Motivation and Personality (RRAHMP) study

Campbell¹

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Background: Allied health (AH) workforce shortages in remote and rural Australia contribute to poorer health outcomes for residents in those areas. This gap in health workforce has long been recognised as problematic and persists despite strategies for improving recruitment and retention of AH professionals. This thesis reports on a new approach to addressing the recruitment to, and retention in, remote areas of AH professionals by investigating the personal traits and motivation characteristics of AH professionals with and without remote area work experience. Recent research has shown that the nursing and medical professions can be differentiated by personality traits, but little is known about the personality traits of AH professionals. Therefore, this research aimed to address that knowledge gap.The aim of the study was to identify the personality traits and motivation characteristics that might assist an individual to 'thrive' rather than 'survive' in the remote work environment. It Health achieved a sample size of 562 AH professionals, with full demographic data and a completed TCI. Dependent variables were the TCI dimensions, while independent variables were remote experience, gender, age, profession and grouping of the professions as either person-or technique-oriented. Analysis was descriptive of the whole sample and comparative between groups using independent samples t-test, ANOVA and subsequent two-way ANOVA with 95% confidence level.Strand 2 used Personal Construct Psychology's key technique, the repertory grid interview, to understand how AH professionals construed working in remote areas, in terms of the personal traits and motivation that contribute to success. Participants (n=34) were a purposively selected subset of Strand 1. The repertory grid interviews produced both iii qualitative and quantitative data. These were analysed qualitatively to identify the personal and motivation characteristics, and quantitatively using singular value decomposition and Euclidean distance to compare differences construed by participants between remote and other AH work situations. Results:The following key findings were determined from personality trait results, together with the repertory grid results: The AH professionals appear to have mature personality characteristics, i.e. high or very high levels of Reward Dependence, Persistence, Self-directedness and Cooperativeness. The AH professionals with remote experience had higher Novelty Seeking and average Harm Avoidance levels compared with AH professionals without remote experience. Younger AH professionals tended towards higher Harm Avoidance levels.

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Emerging from the shadow of medicine: allied health as a ‘profession community’ subculture

Cited by 40 publications

References 5 publications

From the nurses' station to the health team hub: How can design promote interprofessional collaboration?

From the nurses' station to the health team hub: How can design promote interprofessional collaboration?

A sociological exploration of the tensions related to interprofessional collaboration in acute-care discharge planning

Investigating the motivation and personal traits of allied health professionals working in remote and rural Australia: the Remote and Rural Allied Health Motivation and Personality (RRAHMP) study

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